Ceder L, Strömqvist B, Hansson L I
Clin Orthop Relat Res. 1987 May(218):53-7.
From 1966 to 1982 new concepts in the treatment of fresh femoral neck fractures were introduced at a university hospital in Sweden. These included immediate postoperative weight-bearing, a program with rehabilitation at home in collaboration with primary care, and an alteration of the treatment policy from primary hemiarthroplasty to a flanged nail and finally to hook pins. The total annual number of hospital days was reduced by about one-third during this period in spite of the fact that the annual number of femoral neck fractures doubled. Thus, the mean hospitalization time decreased from 44 to 16 days. The proportion of patients admitted from their own homes decreased from 80% to 52% during the 17-year period, and for these, the return rate home at discharge from the hospital increased from 44% to 75%. According to several reports from Scandinavia, the number of hip fractures will double in the next two decades. Ways of further reducing the hospitalization time, new techniques, and, if possible, methods of preventing hip fractures must be sought.
1966年至1982年期间，瑞典一家大学医院引入了新鲜股骨颈骨折治疗的新概念。这些概念包括术后立即负重、与初级保健机构合作的家庭康复计划，以及治疗策略从一期半关节置换术改为带凸缘钉，最后改为钩钉。尽管股骨颈骨折的年病例数翻了一番，但在此期间医院总住院天数减少了约三分之一。因此，平均住院时间从44天降至16天。在这17年期间，从家中入院的患者比例从80%降至52%，对于这些患者，出院时回家的比率从44%升至75%。根据斯堪的纳维亚的几份报告，未来二十年髋部骨折的数量将翻倍。必须寻求进一步缩短住院时间的方法、新技术，以及如果可能的话，预防髋部骨折的方法。
